Caritina Reyes, vs. Anajet, Inc.; The Hartford,

In this case, the Workers' Compensation Appeals Board granted the petition for reconsideration of the Joint Findings and Order issued on July 31, 2017 by a workers' compensation administrative law judge. The WCJ found that Southland and New Age failed to meet their burden of proof that the medical treatment they provided to the applicant was reasonable and necessary. The WCJ ordered that the liens of Southland and New Age be disallowed in their entirety. The WCAB granted the petition for reconsideration and rescinded the F&O, returning the matter to the WC for further proceedings. The WCAB also admonished Southland and its lien representative for failing to follow the WCAB's Rules and reminded them that violations of these rules may

Anajet, Inc.; The Hartford, Caritina Reyes, WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIACARITINA REYES,Applicant,vs.ANAJET, INC.; THE HARTFORD,Defendants.Case Nos. ADJ8470179ADJ8501826(Marina Del Rey District Office)OPINION AND ORDER GRANTING PETITION FOR RECONSIDERATION AND DECISION AFTER RECONSIDERATION            Lien claimants, Southland Spine & Rehabilitation Medical Center (“Southland”) and New Age Translations, Inc., (“New Age”) through its representative Susie Miller and Espiridion Ortiz respectively, seek reconsideration of the Joint Findings and Order (F&O) issued on July 31, 2017 by a workers’ compensation administrative law judge (“WCJ”). The WCJ found, in pertinent part, that Southland failed to meet its burden of proof that the medical treatment it provided to applicant was reasonable and necessary, and that New Age failed to meet its burden of proof that the medical treatment for which it provided applicant Spanish language interpreting services was reasonable and necessary. The WCJ ordered that the liens of Southland and New Age be disallowed in their entirety.            Lien claimants contend that defendant failed to raise issues regarding whether Southland and New Age were part of defendant’s Medical Provider Network (“MPN”) at the February 4, 2015 trial of the case in chief (prior to resolution by Compromise and Release on October 19, 2015); that defendant lost medical control when it failed to provide timely and adequate medical care to applicant pursuant to Knight v. United Parcel Service, Liberty Mutual Insurance Co. (2006) 71 Cal.Comp.Cases 1423(Appeals Bd. en banc), thereby forcing applicant to self-procure medical treatment from Southland and translation services from New Age; that the reports of psychiatric Panel Qualified Medical Examiner (“QME”) Barbara Justice, M.D. and orthopedic Agreed Medical Examiner (“AME”) Roger S. Sohn, M.D. find the medical treatment provided by Southland, and thereby the interpreting services provided

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